East Georgia Healthcare Center INC

NPI #1700820917 in Soperton, Georgia

Provider Information

NPI Number: 1700820917
Entity Type: Organization
Organization Name: East Georgia Healthcare Center INC
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jun 16, 2006
Last Updated: May 1, 2023

Practice Location

Address: 4357 E LOUISIANA AVE
City: Soperton
State: Georgia
ZIP Code: 30457-3661
Phone: (478) 488-4234

Authorized Official

Name: JILL R SORRELLS
Title: CFO
Phone: (478) 419-1641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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